A nurse plans care for clients with urinary incontinence. Which ...

[luvbio]

A nurse plans care for clients with urinary incontinence. Which client is correctly paired with the appropriate intervention?
 
  a. A 29-year-old client after a difficult vaginal delivery - Habit training
  b. A 58-year-old postmenopausal client who is not taking estrogen therapy - Electrical stimulation
  c. A 64-year-old female with Alzheimer's-type senile dementia - Bladder training
  d. A 77-year-old female who has difficulty ambulating - Exercise therapy

Question 2

A nurse assesses a client with bladder cancer who is recovering from a complete cystectomy with ileal conduit. Which assessment finding should alert the nurse to urgently contact the health care provider?
 
  a. The ileostomy is draining blood-tinged urine.
  b. There is serous sanguineous drainage present on the surgical dressing.
  c. The ileostomy stoma is pale and cyanotic in appearance.
  d. Oxygen saturations are 92 on room air.

[kusterl]

Answer to Question 1

ANS: B
Exercise therapy and electrical stimulation are used for clients with stress incontinence related to childbirth or low levels of estrogen after menopause. Exercise therapy increases pelvic wall strength; it does not improve ambulation. Physical therapy and a bedside commode would be appropriate interventions for the client who has difficulty ambulating. Habit training is the type of bladder training that will be most effective with cognitively impaired clients. Bladder training can be used only with a client who is alert, aware, and able to resist the urge to urinate.

Answer to Question 2

ANS: C
A pale or cyanotic stoma indicates impaired circulation to the stoma and must be treated to prevent necrosis. Blood-tinged urine and serous sanguineous drainage are expected after this type of surgery. Oxygen saturation of 92 on room air is at the low limit of normal.

[luvbio]

Excellent

[kusterl]

TYSM